J Curr Surg

Journal of Current Surgery, ISSN 1927-1298 print, 1927-1301 online, Open Access

Article copyright, the authors; Journal compilation copyright, J Curr Surg and Elmer Press Inc

Journal website http://www.currentsurgery.org

Original Article

Volume 2, Number 2, April 2012, pages 55-61

Mechanical Bowel Obstruction and Related Risk Factors on Morbidity and Mortality

**Table 1.** The Demographic and Characteristics of the Patients With Mechanical Bowel Obstruction
*Data were given as; mean ± standart deviation (minumum - maximum).
Age (years)*	51.5 ± 19.9 (16 - 94)
< 50, n (%)	67 (45.3)
50 - 75, n (%)	64 (43.2)
> 75, n (%)	17 (11.5)
Gender
Male, n (%)	104 (70.3)
Female, n (%)	44 (29.7)
Comorbidity	32 (21.6)
Cardiovascular disease, n (%)	16 (50.0)
Respiratory disease, n (%)	9 (28.1)
Diabetes mellitus, n (%)	7 (21.9)
Referal symptoms
Abdominal pain, n (%)	148 (100)
Abdominal bloating, n (%)	124 (86.1)
Absence of the passage of gas and/or stool, n (%)	97 (67.4)
Nausea and vomiting, n (%)	90 (62.5)
Physical findings
Abdominal tenderness, n (%)	135 (93.8)
Distension, n (%)	124 (86.1)
Increase in bowel sounds, n (%)	105 (72.9)
Tympanic sounds, n (%)	30 (20.8)
Rebound, n (%)	30 (20.8)
Palpabl mass, n (%)	1 (0.7)
Prior history of operation, n (%)	74 (50.0)
Admission time to the emergency unit (hours)*	36.2 ± 25.0 (6 - 102)
≤ 24 hours, n (%)	84 (56.8)
> 24 hours, n (%)	64 (43.2)
Leukocytosis ( mm³)*	11431 ± 5000 (1500 - 28800)
Normal (≤ 11500/mm³)	80 (54.1)
High (> 11500/mm³)	68 (43.2)
Morbidity, n (%)	62 (41.9)
The length of hospital stay (days)*	16.2 ± 12.8 (1 - 85)
Mortality, n (%)	19 (12.8)

Table 1. The Demographic and Characteristics of the Patients With Mechanical Bowel Obstruction

*Data were given as; mean ± standart deviation (minumum - maximum).

Age (years)*

51.5 ± 19.9 (16 - 94)

< 50, n (%)

67 (45.3)

50 - 75, n (%)

64 (43.2)

> 75, n (%)

17 (11.5)

Gender

Male, n (%)

104 (70.3)

Female, n (%)

44 (29.7)

Comorbidity

32 (21.6)

Cardiovascular disease, n (%)

16 (50.0)

Respiratory disease, n (%)

9 (28.1)

Diabetes mellitus, n (%)

7 (21.9)

Referal symptoms

Abdominal pain, n (%)

148 (100)

Abdominal bloating, n (%)

124 (86.1)

Absence of the passage of gas and/or stool, n (%)

97 (67.4)

Nausea and vomiting, n (%)

90 (62.5)

Physical findings

Abdominal tenderness, n (%)

135 (93.8)

Distension, n (%)

124 (86.1)

Increase in bowel sounds, n (%)

105 (72.9)

Tympanic sounds, n (%)

30 (20.8)

Rebound, n (%)

30 (20.8)

Palpabl mass, n (%)

1 (0.7)

Prior history of operation, n (%)

74 (50.0)

Admission time to the emergency unit (hours)*

36.2 ± 25.0 (6 - 102)

≤ 24 hours, n (%)

84 (56.8)

> 24 hours, n (%)

64 (43.2)

Leukocytosis ( mm³)*

11431 ± 5000 (1500 - 28800)

Normal (≤ 11500/mm³)

80 (54.1)

High (> 11500/mm³)

68 (43.2)

Morbidity, n (%)

62 (41.9)

The length of hospital stay (days)*

16.2 ± 12.8 (1 - 85)

Mortality, n (%)

19 (12.8)

**Table 2.** The Prior Operations of the Patients
	N (%)
Appendectomy	30 (40.5)
Small bowel surgery	17 (23.0)
Gastric surgery	10 (13.5)
Colorectal surgery	8 (10.8)
Cholecystectomy	6 (8.1)
Liver surgery	1 (1.4)
Gynecological surgery	2 (2.7)
Total	74 (100.0)

Table 2. The Prior Operations of the Patients

N (%)

Appendectomy

30 (40.5)

Small bowel surgery

17 (23.0)

Gastric surgery

10 (13.5)

Colorectal surgery

8 (10.8)

Cholecystectomy

6 (8.1)

Liver surgery

1 (1.4)

Gynecological surgery

2 (2.7)

Total

74 (100.0)

**Table 3.** The Etiological Causes of Mechanical Bowel Obstruction in the Patients
	N (%)
Benign disease	117 (79.1)
Adhesions	72 (48.6 )
Sigmoid torsion	23 (15.5)
Hernia	8 (5.4)
Intestinal invagination	5 (3.4)
Small bowel torsion	5 (3.4)
Appendicitis	3 (2.0)
Inflammatory bowel disease	1 (0.7)
Malign disease	31 (20.9)
Colon and rectum malignancy	24 (16.2)
Small bowel malignancy	5 (3.4)
Gastric carcinoma	1 (0.7)
Gynecological malignancy	1 (0.7)
Total	148 (100.0)

Table 3. The Etiological Causes of Mechanical Bowel Obstruction in the Patients

N (%)

Benign disease

117 (79.1)

Adhesions

72 (48.6 )

Sigmoid torsion

23 (15.5)

Hernia

8 (5.4)

Intestinal invagination

5 (3.4)

Small bowel torsion

5 (3.4)

Appendicitis

3 (2.0)

Inflammatory bowel disease

1 (0.7)

Malign disease

31 (20.9)

Colon and rectum malignancy

24 (16.2)

Small bowel malignancy

5 (3.4)

Gastric carcinoma

1 (0.7)

Gynecological malignancy

1 (0.7)

Total

148 (100.0)

**Table 4.** The Type of Operations, Operation Related and Overall Morbidity and Mortality
Surgery	n (%)	Respiratory complications, n	Wound infection, n	Cardiovascular complications, n	Intraabdominal abscess, n	Acute renal Failure, n	Fistula, n	Ileus, n	Morbidiy, n	Mortality, n
Resection + stoma	56 (37.8)	19	8	2	8	3	0	1	30	14
Adhesiolysis	49 (33.1)	5	4	2	2	0	1	1	12	1
Resection + anastomosis	33 (22.3)	10	8	3	6	1	3	0	19	3
Hernia repair	5 (3.4)	1	0	0	0	0	0	0	1	1
Appendectomy	3 (2.0)	0	0	0	0	0	0	0	0	0
Detorsion	2 (1.4)	0	0	0	0	0	0	0	0	0
Total, n(%)	148 (100)	35 (23.6)	20 (13.5)	7 (4.7)	16 (10.8)	4 (6.1)	4 (6.1)	2 (1.4)	62 (41.9)	19 (12.8)

Table 4. The Type of Operations, Operation Related and Overall Morbidity and Mortality

Surgery

n (%)

Respiratory complications, n

Wound infection, n

Cardiovascular complications, n

Intraabdominal abscess, n

Acute renal Failure, n

Fistula, n

Ileus, n

Morbidiy, n

Mortality, n

Resection + stoma

56 (37.8)

Adhesiolysis

49 (33.1)

Resection + anastomosis

33 (22.3)

Hernia repair

5 (3.4)

Appendectomy

3 (2.0)

Detorsion

2 (1.4)

Total, n(%)

148 (100)

35 (23.6)

20 (13.5)

7 (4.7)

16 (10.8)

4 (6.1)

2 (1.4)

62 (41.9)

19 (12.8)